2nd Annual 2005 - Clinton Fish and Game Club
Sporting Clays Charity Event for Hospice & Palliative Care, Inc.

October 9th, 2005 - Sporting Clays Charity Event for Hospice & Palliative Care

Individual Sponsor Sign-up Sheet
 Sponsors Name   
 Address   
 City/State,Zip   
 Phone Nbr   
 EMail Address   
 Sponsored Amount $   

Individual Sponsorship makes up for a great deal of the total amount we raise.
No amount to small to accept. All donations are welcome.

To sign-up print this form and mail it to the CFAGC at the address listed below. Or Click the On Line Form link
Make checks payable to "Clinton fish and Game Club" memo: "Hospice"
If you happen to see David, John or Al around just give them the form and they will be happy to turn it in for you.

Clinton Fish and Game Club
P.O Box 122
Clinton, NY 13323
315-853-8787
WebPage:
www.clintonfishandgameclub.com
EMail To: David D. Cruger
Hospice & Palliative Care, Inc.
Middle Settlement Road
New Hartford, NY 13413
315-735-6487 Ext. 250
315-793-8852 Fax
WebPage:
www.hospicecareinc.org
EMail To: Suzanne Simmons